下肢大截肢术后的伤口愈合并发症。

Wound healing complications following major amputations of the lower limb.

作者信息

Jensen J S, Mandrup-Poulsen T, Krasnik M

出版信息

Prosthet Orthot Int. 1982 Aug;6(2):105-7. doi: 10.3109/03093648209166776.

DOI:10.3109/03093648209166776

Abstract

A series of 320 amputations was analyzed with regard to wound healing complications and re-amputation rates. Among 111 AK amputations complications in wound healing were encountered in 14 per cent (15/111) of the cases, leading to re-amputation in 2 per cent (2/111). TK amputations were followed by wound healing problems in 30 per cent (20/66) of the cases with re-amputation in 20 per cent (13/66) at AK level, as compared to 40 per cent (57/143) with wound healing complications and 20 per cent (28/143) re-amputations in BK-amputees. As failure of BK amputation leads to re-amputation at AK level it is recommended that the TK level be selected in doubtful cases.

摘要

对320例截肢手术进行了分析，观察伤口愈合并发症和再次截肢率。在111例大腿截肢手术中，14%（15/111）的病例出现伤口愈合并发症，2%（2/111）的病例因此进行了再次截肢。在66例膝下截肢手术中，30%（20/66）的病例出现伤口愈合问题，其中20%（13/66）的病例在大腿水平进行了再次截肢；相比之下，小腿截肢者中40%（57/143）出现伤口愈合并发症，20%（28/143）进行了再次截肢。由于小腿截肢失败会导致大腿水平的再次截肢，因此建议在存在疑问的病例中选择膝下水平进行截肢。